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Nursing HomeMedicaid Investigative

Pioneer Trace Group LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

115 Pioneer Trace, Flemingsburg, KY 4104192 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 10 Google reviews

5
4
3
2
1
Pioneer Trace Group LLC Nursing Home in Flemingsburg, KY — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (4 vs median 2.0)

Bottom 25% in KY · Below recommended RN staffing · $27,493 in fines

Source: Medicare data

What this means for your family

While some families report a warm and family-oriented atmosphere, you should exercise caution regarding the facility's admission policies. Specifically, ask management for their written policy on readmission following temporary hospitalizations to ensure your loved one will not be displaced.

Google Reviews

Google Reviews

10 reviews analyzed
Pioneer Trace Group LLC receives high praise from some families for its compassionate and family-oriented environment. However, critical concerns exist regarding the facility's refusal to readmit residents after temporary transfers, particularly for those with complex needs like dementia.

Quality Themes

Tap a score for details
FoodN/AStaff8.0CleanN/AActivitiesN/AMeds1.0Memory2.0CommsN/AValueN/A

Strengths

  • Compassionate and dedicated staff
  • Family-oriented environment
  • Strong rapport between staff and residents

Concerns

  • Refusal to readmit residents after temporary hospital or facility transfers

Rating Trends

Tap a year to see what changed

2345.02017(1)5.02021(6)1.02024(1)5.02025(2)

Distribution

5
9
4
0
3
0
2
0
1
1

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the facility's focus on a family-oriented environment, how do you foster that same sense of connection and engagement for residents in the memory care unit?
  • 2Can you walk me through your specific protocols for medication management to ensure accuracy and safety for residents?
  • 3What is your formal policy regarding the readmission of residents following a temporary hospital stay, and how do you communicate these transitions to families?
  • 4I noticed you have engaged with some feedback online; how do you use family input to improve the quality of care and daily life for residents?
  • 5With the current staffing levels, how do you ensure that residents receive consistent, personalized attention throughout the day?
  • 6What steps are being taken to address the recent health inspection findings to ensure the highest standard of safety for my loved one?

Personalized based on this facility's data


Key Review Excerpts

10/10 recommend. Very family oriented environment, residents and co-workers become extended family.

Family member · 2021★★★★★

Pioneer Trace LLC did not provide a safe environment for my brother. They took him in knowing he had dementia and refused to take him back after sending him to a facility to have his meds evaluated.

Family member · 2024☆☆☆☆

They're a very good place my mama used to be in there and they took good care of her

Family member · 2025★★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
56%
Registered nurses for medical care
Total Nursing
3.43hrs
84%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
14.4%
KY
14.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
15.3%
KY
15.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
12.1%
KY
16.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
KY
94.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.0%
Mixed vs Avgs
Here
24.0%
US
19.5%
KY
29.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.1%
Worse than Avg
Here
24.1%
US
19.4%
KY
19.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.8%
Worse than Avg
Here
68.8%
US
79.7%
KY
83.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.2%
Better than Avg
Here
91.2%
US
81.8%
KY
83.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.8%
Worse than Avg
Here
5.8%
US
1.6%
KY
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
4penalties
Above state avg (3.4)
1 complaint-triggered
$27,493 in fines

Pioneer Trace has accumulated 35 deficiencies across four surveys, with one complaint-filed issue regarding protection of resident belongings that remains uncorrected. The facility has persistent problems with fire safety and smoke systems, infection control, and care planning that have recurred across multiple inspections from 2018 to 2024, suggesting ongoing operational challenges despite reported corrections.

Jan 8, 2026Routine
10
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0781ModerateCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0698MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712MinorCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0920MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 8, 2026Complaint
1
0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Oct 3, 2024Routine
28
0576ModerateCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0001ModerateCorrected

Emergency Preparedness Deficiencies

Establish an Emergency Preparedness Program (EP).

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0921ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0001ModerateCorrected

Emergency Preparedness Deficiencies

Establish an Emergency Preparedness Program (EP).

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0921ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0576ModerateCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0325ModerateCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0325ModerateCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Nov 14, 2019Routine
14
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0232MinorCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0232MinorCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Sep 13, 2018Routine
13
0361ModerateCorrected

Smoke Deficiencies

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

0809ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0865ModerateCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881ModerateCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0500MinorCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0659MinorCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0018MinorCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

Federal Penalties

Fine

Oct 3, 2024

$5,346

Fine

Oct 3, 2024

$5,346

Fine

Oct 3, 2024

$16,801

Payment Denial

Oct 3, 2024

28-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pioneer Trace Group LLC

Organization Type

for profit

Ownership & Management

Owners

Frances, Jay

Owner

50%

Smith, Kimberly

Owner

50%

Key personnel

Frances, JayOfficer / DirectorSmith, KimberlyOfficer / DirectorLegacy Health Services INCManagerFrances, JayManagerMcintyre, AmandaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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